MRI Protocol for Pelvic Floor

MRI Protocol for Patients With Pelvic Floor Disorders

• HASTE Sagittal Rest Determine resting organ positions
• HASTE Sagittal Kegel(Assess Kegel ability)
• True FISP Sagittal Evacuation(Evaluate pelvic organ prolapse, rectal evacuation)
• HASTE Sagittal Valsalva(Evaluate pelvic organ prolapse)
• HASTE Coronal Valsalva Evaluate pelvic organ prolapse
• T2 TSE Axial             Rest   Evaluate pelvic support structures
• T2 TSE     Coronal        Rest   Evaluate pelvic support structures

Technical notes "MRI Protocol for Pelvic Floor" 

True FISP evacuation sequence is performed before the single-shot fast spin-echo Valsalva sequence to ensure that rectal contrast material is not lost before dynamic imaging. The true FISP sequence is a continuous 60-second acquisition along the mid sagittal slice. Acquisition time per image = 1 second.
The patient is positioned on the MR table on a water-resistant pad,120 mL of ultrasound gel mixed with gadolinium is placed into the rectum. 

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